| Careatc - Odessa Sam Houston | |
|
221 N Sam Houston Ave Odessa TX 79761-5040 | |
| (432) 272-6047 | |
| Not Available |
| Full Name | Careatc - Odessa Sam Houston |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 221 N Sam Houston Ave, Odessa, Texas |
| Authorized Official Name and Position | Kelly Bender (SR. DIRECTOR, DATA & ANALYTICS) |
| Authorized Official Contact | 9187797475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careatc - Odessa Sam Houston 4500 S 129th East Ave Tulsa OK 74134-5801 | Careatc - Odessa Sam Houston 221 N Sam Houston Ave Odessa TX 79761-5040 Ph: (432) 272-6047 |
| NPI Number | 1548079486 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548079486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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